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Contact Information

KIRSTEN L GRUIS, MD
90 PRESIDENTIAL PLZ
4TH FLOOR - NEUROLOGY
SYRACUSE, NY13202-2240
 Phone: 315-464-4243
 Fax: 315-464-5350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KIRSTEN L GRUIS · (Female)

NPI Number 1225127194
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 12/13/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 263856
  • NY Medicaid 03423003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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